Objective:Through the analysis of intracranial aneurysm rupture high classification(Hunt-Hess grade IV, V level) in patients with early and super early surgery preoperativeand intraoperative bleeding, and bleeding, postoperative complications and prognosis, andevaluation to the super early surgical treatment of intracranial aneurysm rupture thecurative effect of poor grade.Methods:Retrospective analysis of27cases of poor gradeintracranial aneurysm patients microsurgical treatment of material, super early group (24hours):15cases. Early group (24to72hours):12cases, more super early and earlysurgical surgery in the preoperative fracture risk, intraoperative rupture risk andcompletely GaBi rate, postoperativecomplications, and mainly to GOS rating scale forpatients with nerve function score.Results:Compared the two groups, preoperative andfracture rate: super early group0cases, the early group4patients (33.3%), super earlysurgical decrease, the difference was statistically significant (P=0.024); Intraoperativecompletely GaBi rate: super early group of11cases (91.6%), the early group9cases(90.0%); Intraoperative bleeding rate again: super early group3cases (20.0%), the earlygroup1cases (8.3%), the incidence of cerebral infarction: super early group1cases(6.7%), the early group3cases (25.0%), the incidence of hydrocephalus: super earlygroup2cases (13.4%), the early group4patients (33.3%), the prognosis is good rate:super early group of eight patients (61.5%), the early group of7cases (54.5%), differenceswere no statistical significance (P>0.05).Conclusion:Super early surgery can significantlyreduce the bleeding again before, the poor grade aneurysm patients super early surgery isfeasible... |